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Aesthetic Surgery Journal Mar 2018Mastopexy and mastopexy-augmentation are aesthetic breast surgeries that seek to create youthful, beautiful appearing breasts. Age, hormonal changes, or weight loss can...
Mastopexy and mastopexy-augmentation are aesthetic breast surgeries that seek to create youthful, beautiful appearing breasts. Age, hormonal changes, or weight loss can lead to alterations that require addressing the skin envelope and breast parenchyma. Many surgical approaches have been described including periareolar, vertical, and Wise pattern techniques, but most modern mastopexies include manipulation of the breast parenchyma to improve the longevity of breast ptosis correction. Mesh support of the ptotic breast is an extension of this paradigm shift and seeks to restore the lost strength of the support structures of the breast. Despite initial controversy, single stage mastopexy-augmentation has been demonstrated to be a safe option for appropriately selected and informed patients who desire both correction of shape and volume. Revisions may still be necessary based on patient and surgeon goals for correction. Evolving technologies will likely continue to enhance the ability of aesthetic plastic surgeons to provide pleasing, durable correction of breast ptosis.
Topics: Adipose Tissue; Adult; Breast; Breast Implants; Esthetics; Female; Follow-Up Studies; Humans; Incidence; Mammaplasty; Middle Aged; Patient Satisfaction; Patient Selection; Postoperative Complications; Surgical Mesh; Treatment Outcome
PubMed: 29365038
DOI: 10.1093/asj/sjx181 -
Aesthetic Surgery Journal Aug 2019The authors describe their surgical technique for single-stage periareolar mastopexy with subglandular breast augmentation. They have performed this procedure in 85...
The authors describe their surgical technique for single-stage periareolar mastopexy with subglandular breast augmentation. They have performed this procedure in 85 patients since 2009 and found that this operative technique has allowed them to achieve reproducible outcomes in a single-stage procedure. Periareolar mastopexy with subglandular breast augmentation is an excellent procedure for patients who desire a larger breast size and who present with mild to moderate nipple ptosis with a paucity of excess skin in the lower pole of the breast. This article will review the perioperative management and detailed steps of the procedure and outline its indications for utilization and some of the common complications the authors have encountered.
Topics: Adolescent; Adult; Breast Implantation; Breast Implants; Female; Humans; Middle Aged; Nipples; Patient Satisfaction; Patient Selection; Postoperative Care; Postoperative Complications; Preoperative Care; Retrospective Studies; Treatment Outcome; Young Adult
PubMed: 31056674
DOI: 10.1093/asj/sjz128 -
Plastic and Reconstructive Surgery Sep 2021After studying this article, the participant should be able to: 1. Describe surgical techniques associated with mastopexy and mastopexy augmentation. 2. Understand the... (Review)
Review
LEARNING OBJECTIVES
After studying this article, the participant should be able to: 1. Describe surgical techniques associated with mastopexy and mastopexy augmentation. 2. Understand the evolution of mastopexy and augmentation mastopexy. 3. Address patient goals. 4. Achieve a favorable cosmetic outcome.
SUMMARY
The surgical techniques associated with mastopexy and mastopexy augmentation have continued to evolve. Traditional mastopexy techniques have included periareolar, circumvertical, and inverted-T patterns; however, adjuncts to these have included the use of various surgical mesh materials, implants, and fat grafting. This evidence-based article reviews how the techniques of mastopexy and augmentation mastopexy have evolved to best address patient goals and provide a favorable cosmetic outcome.
Topics: Breast; Esthetics; Evidence-Based Medicine; Female; Follow-Up Studies; Goals; Humans; Mammaplasty; Patient Education as Topic; Patient Satisfaction; Postoperative Complications; Treatment Outcome
PubMed: 34432701
DOI: 10.1097/PRS.0000000000008303 -
Journal of Surgical Oncology Jul 2014Therapeutic mammaplasty is a term for the oncoplastic application of breast reduction and mastopexy techniques to treat selected breast tumours by breast conserving... (Review)
Review
Therapeutic mammaplasty is a term for the oncoplastic application of breast reduction and mastopexy techniques to treat selected breast tumours by breast conserving surgery (BCS). It has the potential to increase the indications for BCS as well as achieve more acceptable aesthetic results from it in suitable women. Now an established technique in the range of oncoplastic options for women with breast cancer, it finds common application and is associated with good oncological and quality of life outcomes.
Topics: Breast Neoplasms; Female; Humans; Mammaplasty; Mastectomy, Segmental
PubMed: 24889526
DOI: 10.1002/jso.23659 -
Indian Journal of Surgical Oncology Jun 2019Advancements in oncoplastic techniques have enhanced commitment to restore shape and, hence, has improved cosmetic outcomes. Donut mastopexy lumpectomy is one such...
Advancements in oncoplastic techniques have enhanced commitment to restore shape and, hence, has improved cosmetic outcomes. Donut mastopexy lumpectomy is one such technique and is best utilized in a setting of a malignancy not extending to the skin or the nipple-areolar complex. As a potential alternative to standard lumpectomy, it has many advantages including restriction of scar to the periareolar region, ease and rapidity of surgery, retention of nipple-areolar sensation, and the possibility of performing augmentation mammoplasty. A mini breast lift is also provided without ugly and visible scars. This report provides an insight into the technical details and utility of donut mastopexy lumpectomy (DML) in breast oncoplasty.
PubMed: 31168264
DOI: 10.1007/s13193-018-0865-0 -
Clinics in Plastic Surgery Jan 2021Patients have been requesting implant removal in revisional breast surgery and options for breast improvement without the use of breast implants in primary breast... (Review)
Review
Patients have been requesting implant removal in revisional breast surgery and options for breast improvement without the use of breast implants in primary breast surgery. This article focuses on perioperative decision making and surgical technique in performing a mastopexy with autoaugmentation and fat grafting. The use of a lower island of breast parenchyma relocated to the upper pole through a central pedicle in primary surgery and a superior pedicle in postexplantation cases, along with fat grafting can provide improvement in global volume or simply additional volume in areas of deficiency, such as the upper poles and medial cleavage region.
Topics: Adipose Tissue; Autografts; Breast; Device Removal; Female; Humans; Mammaplasty; Surgical Flaps
PubMed: 33220902
DOI: 10.1016/j.cps.2020.09.008 -
Clinics in Plastic Surgery Apr 2023Partial breast reconstruction using oncoplastic techniques is performed at the time of lumpectomy and includes volume replacement techniques such as flaps and volume... (Review)
Review
Partial breast reconstruction using oncoplastic techniques is performed at the time of lumpectomy and includes volume replacement techniques such as flaps and volume displacement techniques such as reduction and mastopexy. These techniques are used to preserve breast shape, contour, size, symmetry, inframammary fold position, and position of the nipple-areolar complex. Newer techniques such as auto-augmentation flaps and perforator flaps continue to broaden options and newer radiation therapy protocols will hopefully reduce side effects. Options for the oncoplastic approach now include higher risk patients as there is a larger repository of data on the safety and efficacy of this technique.
Topics: Humans; Female; Breast; Mammaplasty; Mastectomy, Segmental; Plastic Surgery Procedures; Perforator Flap; Breast Neoplasms
PubMed: 36813399
DOI: 10.1016/j.cps.2022.10.005 -
Plastic and Reconstructive Surgery Apr 2024Augmentation mastopexy focuses on restoring the youthful appearance of the female breast. Despite those benefits, there is large scarring to be considered, and the... (Observational Study)
Observational Study
BACKGROUND
Augmentation mastopexy focuses on restoring the youthful appearance of the female breast. Despite those benefits, there is large scarring to be considered, and the reduction of this side effect is the main goal to enhance the aesthetic result. This article aims to describe a variation of the L-shaped mastopexy technique without complex marking and performed in planes, which improves long-term results for patients undergoing this approach.
METHODS
This is a retrospective, observational study, based on a series of cases conducted by the author. The preoperative appointment and the surgical technique are described and divided into steps according to their components: cutaneous, glandular tissue, and muscular.
RESULTS
Between January of 2016 and July of 2021, 632 women underwent surgery. The mean age was 38 years (range, 18 to 71 years). The mean volume of implants was 285 cc (range, 175 to 550 cc). All the implants used were round with a nanotextured surface. The mean amount of tissue resected from each breast was 117 g (range, 5 to 550 g). Follow-ups ranged from 12 to 84 months, and photographic documentation was performed from 30 days after surgery. Complications totaled 19.30% and were divided into minor [treated with expectant treatment, noninvasive, or with the possibility of correction with local anesthesia (10.44%)] and major [in which it was necessary to return to the operating room (8.86%)].
CONCLUSIONS
Multiplane L-scar mastopexy is a versatile and safe technique with predictable results, which allows the systematic treatment of the most diverse breast types, with complications similar to other already described and solidified techniques.
CLINICAL QUESTION/LEVEL OF EVIDENCE
Therapeutic, IV.
Topics: Female; Humans; Adult; Cicatrix; Mammaplasty; Breast Implants; Skin; Retrospective Studies; Muscles; Treatment Outcome; Breast Implantation
PubMed: 37335763
DOI: 10.1097/PRS.0000000000010850 -
Clinics in Plastic Surgery Apr 2022Contemporary management of gynecomastia includes transareolar excision of gland, disruption of inframammary fold, ultrasonic-assisted lipoplasty with muscular... (Review)
Review
Contemporary management of gynecomastia includes transareolar excision of gland, disruption of inframammary fold, ultrasonic-assisted lipoplasty with muscular definition, bipolar radiofrequency tightening, pedicled NAC mastopexy with boomerang pattern excision and J torsoplasty, NAC grafts with hockey stick excision pattern, and pectoralis muscle lipoaugmentation. Therapeutic options are arranged across a modified Simon classification. The aesthetic goal is near total glandular reduction, with proper position and shape of the nipple areolar complexes, and masculinity with skin adherence reflecting musculoskeleton. Clinical cases demonstrate these multiple approaches, successes, and pitfalls. Complications relate to delayed healing caused by excessive closure tension or inadequate or inappropriate treatment.
Topics: Gynecomastia; Humans; Lipectomy; Male; Mammaplasty; Nipples; Treatment Outcome
PubMed: 35367036
DOI: 10.1016/j.cps.2021.12.003